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Original Article

IJMDC. 2020; 4(8): 1268-1275


Different variables affecting appendectomy incidence and outcomes: a single-center study

Saleh Sulaiman Alnajashi, Mutlaq Ghanem Alrasheedi, Abubaker Elsiddig Talha.




Abstract

Background: Appendicitis and appendectomy operations have been widely reported globally; however, the majority of these studies focus on insignificant aspects. This study aimed to determine the role of sex, age, date and day of operation, body mass index (BMI), and temperature at admission to the emergency room (ER) on the incidence and complications of appendectomy.
Methodology: A retrospective review was conducted on 120 patients aged 8-60 years who underwent tertiary care (appendectomy) in a single hospital located in the eastern region of Riyadh, Saudi Arabia. The data were collected on sex, age, date and day of operation, type of operation, BMI, and temperature upon admission to the ER.
Results: The data of 88 male patients (73.3%) were compared with those of 32 female patients (26.7%). The mean age was 25.3±9.5 years, with 71 patients ≤ 25 years old. Three laparoscopic surgeries were performed on male patients, and 117 open appendectomies were performed on males and females. The mean duration of surgeries was 71.3 ± 32.7 minutes. The mean temperature recorded in the ER on arrival was 36.8°C, and the mean BMI was 24.4 kg/m2. About 97 and 23 surgeries were performed during the weekdays and weekends, respectively.
Conclusions: The incidence of appendicitis was 2.5-fold higher in males, around half of the patients were younger than 25 years, and about a quarter was younger than 19 years old. Less than 50% of patients were within the healthy BMI, and there was a positive direct relationship between BMI and duration of surgery.

Key words: Appendectomy, sex, age, date and day of operation, body mass index, temperature upon admission






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